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1346832250
PAUL DOUGLAS MALLAMO
OLATHE, KS
NPI
1346832250
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: KS 1677)
Enumeration Date
2021-02-11
Last Update Date
2021-02-11
Business Address
PAUL DOUGLAS MALLAMO LAC
1009 E OLD HIGHWAY 56
OLATHE, KS 66061-4969
Phone number: 913-764-7555
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Mailing Address
PAUL DOUGLAS MALLAMO LAC
1601 OLD SOUTH RIVER RD
SAINT CHARLES, MO 63303-4120
Phone number: 636-224-1210
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